Individual
CHAD MALESICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9150 HUEBNER RD, STE 275, SAN ANTONIO, TX 78240-1558
(210) 561-7000
Mailing address
6962 WILLOW OAK ST, SAN ANTONIO, TX 78249-1514
(210) 561-1664
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1107019
TX
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1107019
LICENSE #
TX
Enumeration date
08/29/2006
Last updated
09/03/2014
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